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General NPI Number Information
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NPI Number | 1942385497
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Entity Type | Individual
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Provider Name | BONNIE E OWENS LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 EAST OLD COUNTRY ROAD SUITE 15
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City | MINEOLA
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State | NY
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Zip | 11510-4614
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Country | US
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Telephone | 516-353-3022
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Fax | 516-868-2591
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Provider Business Mailing Address
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Address Line | 245 WESTEND AVENUE
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City | FREEPORT
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State | NY
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Zip | 11520-5243
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Country | US
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Telephone | 516-353-3022
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Fax | 516-868-2591
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R048687-1
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License Number State | NY
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